DR. GINA OLIVETO (NPI# 1407872765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407872765 |
| Entity Type | Individual |
| Full Name | DR. GINA OLIVETO |
| Credential | MD |
| Practice Address |
100 Campus Ave Suite 208 Lewiston ME 04240-6040 |
| Mailing Address |
Po Box 4140 Boston MA 02241-4140 |
| Practice Telephone | 2077778974 |
| Practice Fax Number | 2077778946 |
| Mailing Telephone | 2077774111 |
| Mailing Fax Number | 2077836660 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
016272 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 407770099 | 05 |
| Street Address |
100 CAMPUS AVE SUITE 208 |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240-6040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225028814 | Ira M. Shapiro | Psychiatry & Neurology | 100 Campus Ave, Suite 208, Lewiston, ME 04240-6040 | 2005-10-25 |
| 1275057309 | Ellen R Pogson | Social Worker | 100 Campus Ave, Suites A & B, Lewiston, ME 04240-6040 | 2017-07-31 |
| 1912437864 | Margaret Shute | Social Worker | 100 Campus Ave, Lewiston, ME 04240-6040 | 2017-06-14 |
| 1578013348 | Jessica St. Denis | Social Worker | 100 Campus Ave, Suites A & B, Lewiston, ME 04240-6040 | 2016-10-05 |
| 1306395017 | Taylor Bolden | Social Worker | 100 Campus Ave, Suites A & B, Lewiston, ME 04240-6040 | 2016-09-23 |
| 1316490394 | Donna Chase Doucette | Nurse Practitioner | 100 Campus Ave, Lewiston, ME 04240-6040 | 2016-07-26 |
| 1063888667 | Amanda Payne | Nurse Practitioner | 100 Campus Ave, Suite 201, Lewiston, ME 04240 | 2015-08-18 |
| 1396142634 | Tanya Zaldumbide | Counselor | 100 Campus Ave, Suites A & B, Lewiston, ME 04240-6040 | 2014-12-02 |
| 1831506872 | Stacey Labonte | Nurse Practitioner | 100 Campus Ave, Suite 208, Lewiston, ME 04240-6040 | 2014-07-22 |
| 1124368717 | Lisa A Pomerleau | Nurse Practitioner | 100 Campus Ave, Suite 208, Lewiston, ME 04240 | 2013-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| Find all providers in zip 04240 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780944488 | Monica L Daigle | Psychiatry & Neurology | 93 Campus Ave, Lewiston, ME 04240-6030 | 2012-05-29 |
| 1063648111 | Kimberly P Wells | Psychiatry & Neurology | 93 Campus Ave, Lewiston, ME 04240-6030 | 2009-06-03 |
| 1659467124 | Joshua Simon | Psychiatry & Neurology | 100 Campus Ave, Suite 208, Lewiston, ME 04240-6040 | 2006-10-04 |
| 1881701670 | David E Schenk | Psychiatry & Neurology | 93 Campus Ave, Lewiston, ME 04240-6030 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144455296 | Peter Y. Kang | Psychiatry & Neurology | 7 Oak Hill Ter Ste 218, Scarborough, ME 04074 | 2009-05-19 |
| 1235397696 | Kelly Katherine Mcguire | Psychiatry & Neurology | 236 Gannett Dr, South Portland, ME 04106-6913 | 2008-06-01 |
| 1003086109 | Gordon Adair Heath | Psychiatry & Neurology | 96 Ocean St, Unit 4, South Portland, ME 04106-2855 | 2008-03-04 |
| 1841349255 | Corabell Arps | Psychiatry & Neurology | 970 Illinois Ave, Bangor, ME 04401-2722 | 2007-01-09 |
| 1003977257 | Andrew Cook | Psychiatry & Neurology | 11 State House Station, Augusta, ME 04011-0011 | 2006-12-12 |
| 1952408510 | David Rollo Hawkins Jr. | Psychiatry & Neurology | 88 Hammond St, Fourth Floor, Bangor, ME 04401-4953 | 2006-09-17 |
| 1639197932 | Daniel Bates | Psychiatry & Neurology | 124 Fletcher St, Kennebunk, ME 04043-6877 | 2006-07-17 |
| 1841677804 | Kasey May Moss | Psychiatry & Neurology | 123 Andover Rd, Westbrook, ME 04092-3848 | 2015-04-29 |
| 1811300965 | Danielle Hansen Sipsock | Psychiatry & Neurology | 236 Gannett Dr, South Portland, ME 04106-6913 | 2014-06-06 |
| 1538407408 | Francine F. Blattner, Md.pa | Psychiatry & Neurology | 1486b Broadway, South Portland, ME 04106-2602 | 2013-01-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.